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August 22, 2026mBioOpen Access

Identification and characterization of non-canonical azole antifungal resistance pathways in Aspergillus fumigatus

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Authors

EDEndrews DelbajeMRMatheus Mertz RibeiroRBRicardo de Oliveira Barbosa Bitencourt

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Overview

Genomic study uncovers polygenic non-canonical azole resistance in clinical Aspergillus fumigatus, indicating alternative evolutionary routes to antifungal failure.

Key Points

  • To identify and characterize cyp51A-independent (non-canonical) mechanisms and evolutionary pathways of azole resistance in clinical Aspergillus fumigatus isolates.
  • Analyzed a global collection of clinical Aspergillus fumigatus isolates lacking canonical cyp51A resistance mutations.
  • Conducted whole-genome sequencing, population genomics, transcriptomic profiling under azole stress, and functional analyses.
  • Non-canonical azole resistance strongly correlated with a distinct population lineage across global clinical isolates.
  • Resistance was driven by a polygenic network involving extensive metabolic remodeling, mitochondrial adaptations, and transcriptional rewiring rather than single target-site mutations.

Cite This Study

Delbaje et al. (2026) studied this question.

synapsesocial.com/papers/6a895f53ca7ade938187dd67https://doi.org/10.1128/mbio.01723-26
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Understanding multi-azole resistance in Aspergillus fumigatus: the impact of non-cyp51A mutation and efflux pump overexpression2026
  2. 2Global epidemiology of azole resistance in <i>Aspergillus fumigatus</i>2025 · 9 citations
  3. 3Genomic insights into azole resistance in Aspergillus fumigatus: findings from global and South African clinical isolates2026
  4. 4Genotype–Phenotype Relationships in Azole-Resistant Aspergillus: Two Sides of the Same Coin2026 · 1 citations
  5. 5Managing Azole Resistance in &lt;i&gt;Aspergillus&lt;/i&gt;2026